Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE PEDZ CLINIC

NPI: 1538675798 · MAGEE, MS 39111 · Pediatrics Physician · NPI assigned 12/22/2017

$4.22M
Total Medicaid Paid
120,159
Total Claims
104,627
Beneficiaries
51
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFEWELL, KELLI (PEDIATRIC NURSE PRACTITIONER)
NPI Enumeration Date12/22/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 10,992 $422K
2020 19,425 $666K
2021 24,600 $900K
2022 27,028 $837K
2023 21,041 $782K
2024 17,073 $609K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 32,850 25,519 $2.56M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,919 4,414 $349K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,711 3,491 $270K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,164 2,833 $186K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,722 1,617 $129K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,562 6,428 $79K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,653 2,419 $79K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,530 7,741 $77K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 751 631 $77K
90472 Immunization administration, each additional vaccine (list separately) 5,846 5,403 $76K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,724 2,551 $66K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,331 1,145 $46K
99381 556 475 $41K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 507 468 $41K
92551 3,328 3,012 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,391 2,076 $22K
90474 2,135 1,996 $19K
87807 1,599 1,477 $16K
90677 571 472 $10K
85018 6,592 5,900 $9K
99173 3,701 3,298 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 999 909 $6K
99384 35 35 $4K
96127 877 821 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 328 192 $3K
99383 27 27 $3K
96160 2,296 2,005 $3K
80061 Lipid panel 213 207 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,091 1,816 $2K
90670 3,114 3,008 $2K
96161 871 795 $2K
94664 46 33 $431.96
90651 209 201 $422.81
90686 955 807 $339.71
88720 80 63 $288.97
90710 1,626 1,519 $252.00
81002 92 82 $240.57
90633 1,459 1,362 $206.00
90681 414 393 $190.35
90723 1,625 1,572 $161.20
90647 1,569 1,528 $152.45
90698 731 714 $49.60
90734 42 41 $0.00
90700 223 218 $0.00
90715 202 196 $0.00
90680 1,600 1,516 $0.00
36416 42 42 $0.00
90744 330 319 $0.00
90697 531 462 $0.00
90696 353 342 $0.00
99000 36 36 $0.00